Fitzgibbons, John K

Fitzgibbons, John K is an individual health care provider with primary practice located at 7701 Sheridan Blvd , Westminster CO 80003-2605. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fitzgibbons, John K can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
7701 Sheridan Blvd Westminster CO 80003-2605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1175 Colorado

Profile Details

NPI number 1396861902
LBN Legal business name Fitzgibbons, John K
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Apr 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396861902 NPPES
Colorado Other 008179 KAISER PROVIDER NUMBER
Colorado MEDICAID 07011752 KAISER PROVIDER NUMBER

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